NPIMap

Organization Active NPI

Windsor Point Inc.

  • Skilled Nursing Facility
  • Fuquay Varina, NC
National Provider Identifier
1346210291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0580 Issued in NC
Legal business name
WINDSOR POINT INC.
Practice address
1221 Broad St
Fuquay Varina, NC 27526-3602
Phone
(919) 552-4580
Fax
(919) 552-4979
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Florence Ann Johnson, OWNER
Title
Owner
Phone
(919) 552-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0580 NC Primary

Addresses

Primary practice location

1221 Broad St
Fuquay Varina, NC 27526-3602

Mailing address

1221 Broad St
Fuquay Varina, NC 27526-3602
Phone (919) 552-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020801000000 NC Part A Provider - Skilled Nursing Facility 6103733167 Practice locations: Fuquay-Varina, NC

Skilled nursing facility certification: CCN 345500

Legal name
WINDSOR POINT INC.
Doing business as
WINDSOR POINT INC CCRC
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 17, 2000
Last certification
Nov 27, 2024
Beds
45
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 7, 1995 in NC
Enrollment address
1221 Broad Street
Fuquay-Varina, NC 27526-3602
Nursing home name
WINDSOR POINT CONTINUING CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Windsor Point Continuing CareCCN 345500
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Mar 17, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4525.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Windsor Point Pharmacy, Inc. Organization, Clayton, NC Corporation Adp of the SNF Mar 28, 1998
Anna McDougald Individual Adp of the SNF Dec 22, 2012
Robert Gregory Evans Individual 5% Or Greater Direct Ownership InterestVice President Jul 7, 1995 12%
5% Or Greater Mortgage InterestVice President Jul 7, 1995 12%
5% Or Greater Security InterestVice President Jul 7, 1995 12%
Corporate OfficerVice President Jul 7, 1995 12%
Operational/Managerial Control Jul 7, 1995
Adp of the SNF Jul 7, 1995
Direct Ownership Interest Jul 7, 1995 12%
Ethan Johnson Individual Adp of the SNF Dec 22, 2012
Sherrill Investment Holdings LLC Organization, Carolina Beach, NC LLC Adp of the SNF Dec 22, 2012
Sharon Lanzetta Individual Operational/Managerial Control Jul 16, 2025
Adp of the SNF Jul 16, 2025
Rosemary Evans Miller Individual 5% Or Greater Direct Ownership Interest Jul 7, 1995 5.5%
5% Or Greater Mortgage Interest Jul 7, 1995 5.5%
5% Or Greater Security Interest Jul 7, 1995 5.5%
Direct Ownership Interest Jul 7, 1995 5.5%
Sarah Pickford Individual Adp of the SNF Feb 1, 2006
Legacy Healthcare Services Inc Organization, Raleigh, NC Corporation Adp of the SNF Jul 1, 2011
Kelly Pendergrass Individual Adp of the SNF Oct 1, 2010
Sharon Y Jones Individual Corporate DirectorExecutive Director May 1, 2008
Operational/Managerial Control Jun 1, 2024
Adp of the SNF Jun 1, 2024
Kathyrn Buie Individual Operational/Managerial Control Jun 6, 2025
Adp of the SNF Jun 6, 2025
Debbie Evans Sherrill Individual 5% Or Greater Direct Ownership Interest Jul 7, 1995 5.5%
5% Or Greater Mortgage Interest Jul 7, 1995 5.5%
5% Or Greater Security Interest Jul 7, 1995 5.5%
Beth L Robinson Individual Adp of the SNF May 6, 2017
Riley Sarkey Evans Individual 5% Or Greater Direct Ownership InterestCorporate Director Jul 7, 1995 5.5%
5% Or Greater Mortgage InterestCorporate Director Jul 7, 1995 5.5%
5% Or Greater Security InterestCorporate Director Jul 7, 1995 5.5%
Corporate DirectorCorporate Direct Jul 7, 1995 5.5%
Direct Ownership Interest Jul 7, 1995 5.5%
Kisa Willis Evans Individual Corporate OfficerSecretary Jan 1, 2020
Seth a Ward Cpa PLLC Organization, Morehead City, NC LLC Adp of the SNF Jan 1, 2010
Elizabeth Ann Mays Individual Operational/Managerial Control May 10, 2021
Stan Johnson and Associate LLC Organization, Fuquay Varina, NC LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 7, 1995 100%
5% Or Greater Security Interest Jul 7, 1995 100%
Adp of the SNF Jul 7, 1995
Eventus Wholehealth PLLC Organization, Chapel Hill, NC LLC Adp of the SNF Mar 28, 1998
Greenbrier LLC Organization, Clarkton, NC LLC Adp of the SNF Dec 22, 2012
Florence Evans Jonhson Individual 5% Or Greater Direct Ownership InterestPresident Jul 7, 1995 50%
5% Or Greater Mortgage InterestPresident Jul 7, 1995 50%
5% Or Greater Security InterestPresident Jul 7, 1995 50%
Corporate OfficerPresident Jul 7, 1995 50%
Operational/Managerial Control Jul 7, 1995
Adp of the SNF Jul 7, 1995
Direct Ownership Interest Jul 7, 1995 50%
Tammy Pope Individual Operational/Managerial Control Dec 31, 2002
Adp of the SNF Dec 31, 2002
Andrew McDougald, Jr. Individual Adp of the SNF Dec 22, 2012
Michael Devine Individual Operational/Managerial Control May 10, 2021
Adp of the SNF May 10, 2021
William Blue Miller Individual 5% Or Greater Direct Ownership Interest Jul 7, 1995 5.5%
5% Or Greater Mortgage Interest Jul 7, 1995 5.5%
5% Or Greater Security Interest Jul 7, 1995 5.5%
Josh Johnson Individual Adp of the SNF Dec 22, 2012
Toni Corey Evans Individual 5% Or Greater Direct Ownership Interest Jul 7, 1995 5.5%
5% Or Greater Mortgage Interest Jul 7, 1995 5.5%
5% Or Greater Security Interest Jul 7, 1995 5.5%
Adp of the SNF Jul 7, 1995
Parul Bhagalia-Patel Individual Adp of the SNF Jan 1, 2022
Nutrition Plus of Greenville Inc Organization, Greenville, NC Corporation Adp of the SNF Feb 1, 2006
Lori Seaverson Individual Operational/Managerial Control Mar 14, 2025
Adp of the SNF Mar 14, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346210291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263602",
            "telephone_number": "919-552-4580",
            "fax_number": "919-552-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263602",
            "telephone_number": "919-552-4580",
            "fax_number": "919-552-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR POINT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-552-4580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.